Lucas Paul Donaldson, | |
8796 W Tillamook Dr, Boise, ID 83709-5876 | |
(208) 861-5609 | |
Not Available |
Full Name | Lucas Paul Donaldson |
---|---|
Gender | Male |
Speciality | Registered Nurse - Perinatal |
Location | 8796 W Tillamook Dr, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487230983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP1700X | Registered Nurse - Perinatal | 56025 (Idaho) | Primary |
Entity Name | Shoshone-paiute Tribes |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528230224 PECOS PAC ID: 5092871889 Enrollment ID: O20100812000813 |
Mailing Address | Practice Location Address |
---|---|
Lucas Paul Donaldson, 8796 W Tillamook Dr, Boise, ID 83709-5876 Ph: (208) 861-5609 | Lucas Paul Donaldson, 8796 W Tillamook Dr, Boise, ID 83709-5876 Ph: (208) 861-5609 |
Robert Fisher, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1092 | |
Christopher M Gutierrez, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1000 | |
Trina S Hunter, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8601 W Emerald St Ste 160, Boise, ID 83704 Phone: 208-991-4488 | |
Rebecca Cotterell, RN-BC, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1000 Fax: 208-422-1591 | |
Philip Resin Elackatt, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 986-256-1766 | |
Laura Rossow, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1000 | |
Alicia Curmi, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 417 S 6th St, Boise, ID 83702 Phone: 734-812-3214 |